Medical Biller/Intake Specialist - Experienced - Remote | DME Experience Preferred

Job Overview

We are seeking a detail-oriented and dedicated Medical Biller/Intake Specialist to enhance our team. This remote position offers both full-time and part-time opportunities. The ideal candidate should have experience in Durable Medical Equipment (DME) and enteral supplies, coupled with a solid background in medical billing, HCPCS coding, and claim submissions.

Key Responsibilities
? Verify insurance coverage and complete verification forms by contacting insurance providers or utilizing insurance portals for medical foods and DME products.
? Provide exceptional customer service by responding to phone calls and emails in a timely manner, directing inquiries appropriately.
? Process prior authorizations and manage approvals to ensure prompt delivery of medical foods and DME products.
? Re-confirm insurance coverage for existing patients during annual plan changes, ensuring that approvals are updated and documented.
? Review patient medical records to ensure all necessary information is present for accurate insurance authorizations.
? Address insurance denials by liaising with insurance companies and patients for clarification and resolution.
? Collaborate with patients to collect updated insurance information when necessary.
? Generate reports identifying patients with incomplete insurance details and take proactive steps to resolve any gaps.
? Manage wholesale order processing and ensure effective tracking of new referrals.
? Maintain open communication with the Billing Manager and other relevant team members concerning verification issues.
? Assist in the claims submission process, collaborating with billing and coding specialists as required.
? Uphold patient confidentiality while adhering to HIPAA regulations.
? Participate in departmental meetings and contribute to team objectives.
? Promote a professional and collaborative work environment, demonstrating respect in all interactions.

Required Skills
? A minimum of three years? experience in insurance verification and medical billing is essential.
? Prior experience in the DME field is preferred but not mandatory.
? Exceptional attention to detail and accuracy.
? Strong communication skills with the ability to engage effectively with patients, insurance providers, and team members.
? Familiarity with insurance payers, health plans, and prior authorization processes.
? Knowledge of medical terminology and insurance regulations.
? Experience with electronic medical record (EMR) systems such as eClinicalWorks, Office Ally, Availity, or Navinet is advantageous.
? Customer service-oriented mindset with a focus on compassionate patient care.
? Strong organizational and time management capabilities.
? Proficiency in Microsoft Office applications and basic office tools.

Qualifications
? High School Diploma or equivalent required; an Associate Degree is preferred.
? Certification as a Medical Biller and Coder is strongly preferred.

Career Growth Opportunities

This role offers significant potential for professional development and career advancement within our organization, allowing you to enhance your skills and grow your career in the healthcare sector.

Company Culture and Values

We pride ourselves on fostering a supportive and collaborative work environment. Compassion for patients is a core value, and our team is encouraged to collaborate, share knowledge, and support each other?s efforts to achieve organizational goals.

Why Join Us?

This position provides a fulfilling opportunity to make a meaningful impact in the healthcare industry while enjoying the benefits of remote work. We offer a competitive compensation package and a flexible work-life balance.

Employment Type: Full-Time

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